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Rehabilitation of central facial paralysis with hypoglossal-facial anastomosis. The extended minimal access cranial suspension lift, described by Verpaele et al, is a simple technique that was designed to improve the aging neck and lower two-thirds of the face. Support Center Support Center. Ulug T, Arif Ulubil S. Therefore, modified House-Brackmann grading system [ 1 ] is made, focusing major functional criteria of the House-Brackmann system absolute movement, synkinesis, eye closure, asymmetry at rest, and absolute paralysis. Low-dose subcutaneous injection of botulinum toxin type A for facial synkinesis and hyperlacrimation.